Individual
CONCHETTA VINSON BREVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-3531
Mailing address
120 SHORT BRANCH RD, STAFFORD, VA 22556-4642
(571) 599-9396
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402206416
VA
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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